摘要
目的:构建医疗设备运行效益综合评价模型,探讨其在大型医疗设备过程管理中的应用价值.方法:基于驱动力-压力-状态-影响-响应(DPSIR)模型,构建大型医疗设备运行效益指标体系,选取指标体系22项评价指标,采用复合权重赋值方法评价指标的重要性,对照运行效益综合评价结果制定大型医疗设备优化配置、管理流程改进、技术保障和效益提升的管理对策.选取2019-2022年成都市公共卫生临床医疗中心临床在用的61台大型医疗设备,将2019-2020年的57台设备采用传统论证模式进行过程管理(传统论证模式),2021-2022年的60台设备(含传统论证模式的56台和新增加的4台)采用综合评价模式进行过程管理(综合评价模式).对比两种管理模式的大型医疗设备的综合评价指数、运行效益增幅和设备使用认可度.结果:综合评价模式的运行效益贴近度、综合协调指数分别为0.91±0.03和0.89±0.05,均高于传统论证模式,差异均有统计学意义(t=3.387、3.539,P＜0.05),而障碍因子为0.30±0.09,低于传统论证模式,差异亦有统计学意义(t=2.912,P＜0.05);综合评价模式的大型医疗设备成本效益、服务效益和发展效益增幅分别为(2.72±0.97)%、(3.16±0.97)%和(3.90±1.26)%,均高于传统论证模式,差异有统计学意义(t=3.428、4.130、4.135,P＜0.05);使用人员对采用综合评价模式的大型医疗设备基本配置、运行质量、服务效果及管理水平的认可度平均评分分别为(90.93±4.26)分、(92.14±4.32)分、(89.75±3.93)分和(92.67±2.94)分,均高于传传统论证模式,差异有统计学意义(t=4.042、5.294、4.438、6.142,P＜0.05).结论:综合评价模型能够提升大型医疗设备的过程管理质量,提高大型医疗设备运行效益,改善使用人员对大型医疗设备使用情况的认可度.
Abstract
Objective:To construct a comprehensive evaluation model of equipment operation efficiency,and to explore its application value in process management of large medical equipment.Methods:Based on the driving-pressure-state-impact-response(DPSIR)model,22 evaluation indicators of the operation efficiency of large medical equipment were selected,and the importance of the indicators was evaluated by the composite weight evaluation method.According to the comprehensive evaluation results of the operation efficiency,the management countermeasures for optimal allocation of large medical equipment,the improvement of management processes,the technical support and the improvement of efficiency were formulated.The 61 large medical equipment in clinical use in Public Health Clinical Medical Center of Chengdu from 2019 to 2022 was selected,and the traditional demonstration mode was adopted for process management for 57 devices from 2019 to 2020,the 60 devices(including 56 in the traditional demonstration mode and 4 new ones)from 2021 to 2022 adopted comprehensive evaluation mode for process management.The comprehensive evaluation index,the increase in operating benefit and the recognition of equipment use were compared between the two management modes of large medical equipment.Results:The operation benefit closeness and comprehensive coordination index of large medical equipment managed by comprehensive evaluation mode were(0.91±0.03)and(0.89±0.05),respectively,which were higher than those of the traditional demonstration mode,and the obstacle factor was(0.30±0.09),which was lower than that of the traditional demonstration mode,the difference was statistically significant(t=3.387,3.539,2.912,P<0.05).The increases of the cost-effectiveness,service benefit and development benefit of large medical equipment managed by comprehensive evaluation mode were(2.72±0.97)%,(3.16±0.97)%and(3.90±1.26)%,which were higher than those of traditional demonstration mode,the difference was statistically significant(t=3.428,4.130,4.135,P<0.05).The average scores of the recognition of users for the basic allocation,operation quality,service effect and management level of large medical equipment managed by comprehensive evaluation mode were(90.93±4.26)points,(92.14±4.32)points,(89.75±3.93)points and(92.67±2.94)points,respectively,which were higher than those of the traditional demonstration mode,the difference was statistically significant(t=4.042,5.294,4.438,6.142,P<0.05).Conclusion:The comprehensive evaluation model can improve the process management quality of large medical equipment,improve the operation efficiency of large medical equipment,and improve the recognition of the use of the use of large medical equipment.
维普
万方数据